Individual provider · Type 1 NPI

Matthew Paul Wonnacott, MD

Family Medicine Physician · South Lake Tahoe, CA

NPI number 1144214495 Active

Practice location

2201 South Ave
South Lake Tahoe, CA 96150-7025

Call (530) 543-5623 Map

Fax (530) 541-5738

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XA64012 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1144214495

Matthew Paul Wonnacott, MD's National Provider Identifier is 1144214495, issued on Sep 1, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 21, 2022.